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Gastroenterology Research and Practice
Volume 2008, Article ID 985658, 5 pages
Case Report

Fulminant Clostridium difficile Enteritis after Proctocolectomy and Ileal Pouch-Anal Anastamosis

Department of Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center Omaha, NE 68198-3280, USA

Received 26 October 2008; Accepted 6 December 2008

Academic Editor: Paolo Gionchetti

Copyright © 2008 Elena Boland and Jon S. Thompson. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Clostridium difficile (C. difficile) infection of the small bowel is very rare. The disease course is more severe than that of C. difficile colitis, and the mortality is high. We present a case of C. difficile enteritis in a patient with with ileal pouch-anal anastamosis (IPAA), and review previous case reports in order to better characterize this unusual condition.